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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000647

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Murray KennethVeinot Sex Male

Date of Birth March 6, 1923 Place of Birth Union SquareCounty of Lunenburg

Name of Father Bennett Emerald Veinot MAIDEN NAME of Mother Alice M. 

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Present address of Father Deceased

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elaine M. Roberts Address of Applicant 5868 Sebastian Street, Halifax, NS Date 1 June 1978

Relationship of Applicant to child Friend

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Murray KennethVeinot

Born at Union Square in the County of Lunenburg

That Murray KennethVeinot Whose Birth is sought to be registered was

born at Union Square Lunenburg County on March 6, 1923

My knowledge of the fact and date of such Birth is based on the following Circumstances:

School Record National Registration Statistics Canada

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